WAG 06-14-03: Family Community Resource Center Approval

(CO) Generates monthly list, called "Potential QI-1 Eligible Cases", of cases with Item 90 income of more than $25 plus QI-1 income limit for a single person. List shows cases which Family Community Resource Center must review.

Cases are listed:

for Category 91, 92, and 93 cases, when Code HIB status indicator 4 is centrally added in Item 60, no SMIB status indicator appears, and a Code HIB status indicator did not previously appear; and

when Code 390 SPD appears in Item 80.

The list shows the:

case name,

case ID number,

RIN, and

total income amounts from Item 90.

(FCRC) Use Form 2382M to decide if monthly countable income is within QI-1 income limit.

NOTE: Spenddown clients are QI-1 eligible if they have income above SLIB income limit, but at or below QI-1 limit. Spenddown enrollment shows that other QI-1 eligibility requirements are met.